Your 1095-C form will be ready soon.
Come back Jan. 31, 2025.
As the result of recent law changes, you will no longer receive a paper copy of Form 1095-C unless otherwise required by state law.
Visit https://www.mytaxform.com/ (employer code: 10108) or call People Services at 1-800-421-1362 to request a paper copy.
What’s the 1095-C form?
The 1095-C form provides proof of health insurance for your 2025 tax filing. When you file your taxes in 2026, you may need to state whether you and/or your dependents had health insurance in 2025.
How do I get a paper copy of my 1095-C?
Associates working in California, District of Columbia, New Jersey, and Rhode Island will receive a paper copy of their 1095-C in compliance with state/local guidelines.
Associates outside those locations who would like to receive a paper copy may request one by: visiting https://www.mytaxform.com/ (employer code: 10108),
emailing a written request to ghappeal@wal-mart.com and include “Attn: 1095-C” in the subject line, or contacting People Services by phone at 1-800-421-1362
or in writing at People Services - Attn: 1095-C, 806 Excellence Drive, Bentonville, AR 72716-3501.
If you chose to receive your 1095-C by mail, Walmart will send a copy to your home. If you chose to receive it electronically, you'll get an email when it is ready. Then, come back here or use the link in the email to download your form.
What’s the 1095-B form?
The 1095-B form gives you proof of health insurance for 2025 if you were enrolled in a Walmart HMO or the PPO plan. If you have questions about the 1095-B, call the number on the back of your plan ID card.
What’s the 1095-A form?
The 1095-A form will be mailed by the Health Insurance Marketplace if you or anyone in your household enrolled in a health plan through the Health Insurance Marketplace. This form will include premium tax credit information if applicable.
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